"Qin, have you been going to Johns Hopkins Hospital often lately?" Spacey ran to Qin Chuan's side after class.︾
"Yes. I went to Professor Jillian's team to study with them." Qin Chuan did not hide anything.
"You are so lucky. Of course, this is also your great strength. It is not easy to get into Jillian's team. Even a trainee doctor is not easy to get into Jillian's team. Professor Jillian looks very friendly, but treats students
Very strict. The fact that you can join her team means that she has a very good impression of you." Spacey said with some envy.
"Actually, you don't have to worry. There will be a lot of opportunities when you wait for the internship." Qin Chuan said with a smile.
"Of course. Don't even look at who I am. I am a famous American doctor in the future." Spike played a cool image and gently stroked the hair on his temples with his hand.
"Don't be so coquettish, okay? You are a famous doctor, not a socialite." Qin Chuan said with a smile.
"How can a man be a socialite? Qin, I found that you are really not a pure person." Spike felt as if someone had stepped on his tail.
"Oh, time flies so fast. Before I know it, a year has almost passed." Qin Chuan sighed. Here, there are three semesters in each academic year, the curriculum is very intensive, the study time is short, and the exams are intensive.
There are constant papers and experiments. For Chinese students who are used to the loose Chinese university education, the pressure is still very high. Qinchuan is also lucky to have the [Genius Famous Doctor] system. If Qinchuan's own level is to be used, he will have to adapt to the system here.
Rhythm is really not an easy thing. Although Qin Chuan feels that he can adapt to overcome the difficulties. But it is really not an easy thing.
Medical school itself is a more difficult subject than any other subject. This is why American medical schools only recruit college graduates in related majors. The strictness of recruitment is completely different from the strict admissions and strict exit rules of American universities. Medical schools
It is absolutely strict in entering and exiting. Because Americans value life above all else. This is also the reason why medicine is taken very seriously.
"I feel that time is passing too slowly, and the days are like years. The sooner these painful days can pass, the better. In this way, I can quickly become a famous doctor." Spike's view is completely different from Qin Chuan's.
"That's right. Life will be easier when we reach the probationary stage." Qin Chuan nodded.
Qin Chuan does not relax in his studies just because he has the [Genius and Famous Doctor] system. In fact, he is more diligent than American students in the same grade. Qin Chuan doesn't know if the [Genius and Famous Doctor] system will leave him one day. He
I only know that only when you master it can you truly own your own wealth. Although [Genius Doctor] is good, it belongs to external forces after all. Qin Chuan doesn't like this uncontrolled state. Therefore, he needs to study hard and work hard.
Take the huge treasure house of [Genius Doctor] completely in your own hands.
"Qin, you have already obtained a medical qualification certificate in China, why do you still come here to suffer? Aren't you not planning to practice medicine in our country in the future?" Spike was a little confused about Qin Chuan's approach.
"The United States has the best medical system in the world, which is well known. Our domestic medical structure and medical education system are very different from those of the United States. As we Chinese say, stones from other mountains can attack jade.
I hope that I can make a substantial improvement through studying at Johns Hopkins University," Qin Chuan said.
"So that's it. I must have different ideas from others." Spike has always admired this top student from China.
Qin Chuan works really hard, completing various studies every day, and then preparing for the U test after school. On weekends, he goes to the hospital to participate in some medical activities of Jillian's team. There is not much leisure time. American university is really not a pleasure.
This place is completely different from that in China. On TV, I saw how laid-back American college students are. But actually when I got here, I realized that most of them are from Alexander.
At the end of the second academic year, Qin Chuan had actually obtained the American Medical Practitioner Certificate. It was also time to enter the hospital for internship. Medical students also have greater flexibility in the process of clinical internship. Clinical internship has
Two years. The first year of internship is compulsory, including three months each in medicine and surgery, three months in gynecology and pediatrics, one month in radiology, and one month in psychiatry. For example, when rotating in surgery, in addition to the compulsory content
In addition, there are 3 to 6 weeks for medical students to choose the departments they are interested in. In the fourth year, medical students only have one month of compulsory courses, and need to practice internal medicine for one month, and the remaining eleven
Months can be freely arranged. The internship does not put much pressure on Qin Chuan. After all, Qin Chuan himself performed very well when he was an internship in a domestic hospital. And after one year in the emergency department, Qin Chuan's strength is better than before.
I don’t know how powerful he is. Qin Chuan’s current ability. Even in the United States, there are not many people who can surpass Qin Chuan in comprehensive ability. For Qin Chuan, what he lacks most in order to become a world-class doctor is experience.
.
Qin Chuan's first stop as an intern at Johns Hopkins Hospital was internal medicine. Resident doctors Dr. Dai Lins and Dr. Dylan were in charge of him, and Spacey and three other interns were Emerson and Taraji.
, Deborah.
"Don't expect to be easy under my hands. If you have such illusions, your days in internal medicine are destined to be like a nightmare." Dr. Dai Linsi warned the newcomers who came to internal medicine reporting with Qin Chuan.
Dai Linsi did not let Qin Chuan go, and finally said specifically: "And you, a young man from China, I often see you in the hospital. But don't think that you can handle it easily."
"I will work harder." Qin Chuan said calmly.
Although Dai Linsi didn't specifically target Qin Chuan, he still looked at Qin Chuan several times.
The feeling of actually becoming an intern is different from the feeling of joining Jillian's team in the hospital. At that time, Qin Chuan was more like a bystander. But after becoming an intern, all the interns were completely different.
You need to appear in the hospital as a master. This is different from intern doctors in China.
"You are here to study in the hospital, not to do odd jobs." This is what Dr. Dai Lins said more often.
At six o'clock in the morning, the resident doctors began their ward rounds.
Spacey yawned and looked a little sad.
"I was so excited last night that I went to bed very late. I didn't expect it would be time soon." Spacey said a little sluggishly.
"Be careful, Dr. Dai Linsi's department is not a fuel-efficient lamp." Qin Chuan warned.
"There's nothing I can do." Spike shrugged.
Dai Lins was a little dissatisfied with Spike and Qin Chuan who were whispering: "You should pay more attention when you are in the hospital. Even if you become interns like us in the future, you still need to learn and make progress every day and improve your skills. Because we are
The white warrior fighting death."
Qin Chuan agreed very much with Desline's words. After staying at Johns Hopkins Hospital for a long time, he saw some surprises here. Qin Chuan was very impressed. In addition to having many things that make domestic doctors very happy, Qin Chuan
In addition to the enviable high salary and good environment, there is also a very good atmosphere here. The doctors he has seen have never done stock trading, chatting, making phone calls, surfing the Internet and other chores during working hours. All of them are full of body
With their heartfelt investment, they don’t have to worry about medical disputes, they just need to simply carry out clinical work. They use their professional knowledge and skills to help patients reduce pain and improve their quality of life. The spiritual satisfaction is self-evident.
When he was in China, even Qin Chuan's own team couldn't make everyone in the team devote themselves to work. When he was free at work, he would open the web page, read the news, or answer the phone.
It's a very common thing. Qin Chuan's team is already considered a very rare team in China.
Routine ward rounds began early in the morning. Qin Chuan and others followed Dai Lins for ward rounds. Of course, the ward rounds at this time were mainly for several patients under Dai Lins' charge. Dai Lins completed the rounds.
After the room, I started to review yesterday’s examination and some treatment plans for the day.
It took almost an hour to complete the circle. Qin Chuan and other trainees had nothing to do for the time being. They mainly just followed Dai Lins around.
At around seven o'clock, Dai Linsi began to report to the senior residents. Around eight o'clock, the attending physician's ward rounds began and lasted until around twelve o'clock when the rounds ended.
Dai Linsi was on pre-call duty the night before and didn't get off work until 12 o'clock in the evening.
On his first day at work, Qin Chuan was assigned to take charge of a patient.
"Qin, you will be responsible for Miss Mano," Dai Linsi said.
Qin Chuan carefully looked at Manuo's case. He was 52 years old. He had fatigue, polyuria, and weight loss for more than 2 years. Starting 2 years ago, he developed general weakness for no obvious reason. Urination increased (the urination volume was about 2000-3000ml/24h), and there was no
Obvious symptoms of palpitations and hyperhidrosis. Since the onset, he has good appetite and sleeps well. He has lost 5 kilograms in weight. He has no history of taking special drugs. Physical examination: t36.8c, p76 times/min, r16 times/min, bp135/85mmhg,
Height is 160cm. Weight is 70kg. He is conscious and well-nourished. Superficial lymph nodes are not palpable. The thyroid gland is not large and no vascular murmurs are heard. Cardiopulmonary examination shows no abnormality. The abdomen is flat and soft, without tenderness or rebound tenderness, and the liver, spleen and ribs are not present.
Bowel sounds were palpable, 4 times/min, and both lower limbs were not swollen. Laboratory tests: fasting blood sugar was 9.1 mtl/l, and 2-hour postprandial blood sugar was 13.8 mtl/l.
"Tell me what you think of this patient." Dai Lins prepared to examine Qin Chuan.
Qin Chuan nodded: "In view of the patient's gender and age, middle-aged female, as well as the typical clinical manifestations - fatigue, polyuria and weight loss. And the laboratory test results - fasting and postprandial blood sugar exceeded 7.0ml/ml respectively.
l,11.1m touch l/l. I think this patient should have type 2 diabetes."
"What should you do next?" Dai Lins did not confirm or deny Qin Chuan's answer, but continued to examine.
"I think that in order to confirm whether the patient has type 2 diabetes, further examinations should be carried out. Check urine sugar and ketone bodies, conduct c-peptide release test, gad, iaa, glycosylated hemoglobin, blood ft3, ft4, tsh, fundus examination,
Urine microprotein and blood lipid testing, etc. will be checked." Qin Chuan replied.
"Next, after the diagnosis, how to treat it?" Dailins asked.
"When using hypoglycemic drugs, biguanides are preferred. Appropriate life guidance and active prevention of complications. Dietary guidance. Patients should be guided to engage in appropriate physical exercise and timely self-detection of the disease." Qin Chuan described the treatment of type 2 diabetes.
The standard specifications of the plan were memorized.
"Well, you have memorized the contents of the book very well. The diagnosis is also accurate. This answer cannot be said to be wrong. This patient is left to you. Formulate the treatment plan for this patient and hand it over to me during the ward rounds tomorrow.
"Delins said.
On the first day, he was assigned an important task by the resident doctor. Qin Chuan was extremely envied by other students. The tasks given to other students were usually writing medical records, checking and tracking, and other tasks.
"Qin. You are so lucky. Dr. Dai Lins is really impressed by you. Why doesn't a handsome future famous doctor like me get such a good opportunity? Is it because of Dr. Dai Lins' maternal brilliance that he always likes to take care of the disadvantaged?
"Spacey seemed a little jealous.
"I saw with my own eyes that someone kept dozing off and distracted today. Dr. Dai Lins has paid special attention to someone." Qin Chuan quietly told Spacey the unfortunate news.
"No way? Qin, tell me, you are lying to me." Spacey said with a sad face.
"But don't worry, I believe Dr. Dai Lins will be considerate of us newcomers who come to the hospital for the first day." Qin Chuan said with a smile.
"Yes, that's right. She may not have performed as well as me when she first came to the hospital for internship. By the way. Qin, why do you remember that case so clearly? Even if you ask me to read the book, I can't answer it so accurately.
Dai Linsi seems to be very satisfied with your performance." Spike meant in other words: They are both trainees, why is there such a big gap?
"I have been an intern in the hospital for several years, and I have been the chief physician in the hospital for nearly a year. I have encountered this kind of case, so I am very familiar with it," Qin Chuan explained.
"Oh, that's it. Qin, when I become a resident doctor, I will surpass you. Believe me. I am the most talented doctor in this century." Spike's words sounded more like a slogan.
While the two were talking, the pager on Dai Lins's body rang.
"There is a patient in need of first aid. Follow me!" Dai Lins took the lead and rushed out. The patient called was on the tenth floor, and the doctor Dai Lins was on was now on the fifth floor.
Spike ran over and pressed the elevator button. Dai Linsi shouted: "Take the stairs."
The elevator stops on almost every floor, and the length of stay varies. The time waiting for the elevator is indeed not as fast as taking the stairs. The time to rescue the patient is very precious. You must grab the golden five minutes.
Qin Chuan followed Dai Lins closely. Even though Dai Lins looked like a frail woman, she was no weaker than a boy when climbing the stairs. Spike's figure was a bit fat. Americans like carnivorous food, so they have a general figure.
They are generally slightly obese. After climbing two or three floors, they were already out of breath. Naturally, Qin Chuan had no problem and stayed close to Dai Lins. Dai Lins often participated in physical exercises. He was a good person.
A good athlete, she thought that when she reached the tenth floor, all these interns would be left behind by her. But to her surprise, Qin Chuan actually followed her.
"You have a great body." Dai Linsi smiled.
"It's not bad, I often take part in physical exercises." Qin Chuan said with a smile.
"No wonder." When Dai Linsi spoke, his pace did not slow down at all.
It took less than two minutes. The two people had climbed to the tenth floor.
However, when the two of them arrived at the ward, more than a dozen doctors had already arrived in the ward. The ward was in order. One doctor was performing chest compressions on the patient, and the other doctors were waiting behind to prepare for replacement. There was a
The doctor is responsible for counting the number of chest compressions and practicing them, and giving instructions for injecting drugs. The other doctors communicate softly. A road is consciously left open in the ward for doctors and nurses to enter and exit.
Qin Chuan counted roughly. There were more than twenty medical staff in the room. Finally, after everyone's efforts to rescue him, the patient's blood pressure and pulse recovered. Qin Chuan followed Dr. Dai Lins and silently exited the ward.
This scene made Qin Chuan very emotional. If this happened to a patient in Tanshan Central Hospital, there would not be so many doctors involved in the rescue, and there would not be such a collaborative spirit. Even if many people participated in the rescue, the scene
It's also noisy. It won't be so orderly.
Qin Chuan felt that his team was sure to do better. However, doctors from different departments and different medical teams met together in an emergency. If they cooperated, it would be difficult to be so organized.
Dai Linsi was very dissatisfied with the belated trainees behind him: "If the patient is waiting for you to save his life, I think the person will have stopped breathing before you arrive. I hope you will come to the emergency room at any time."
It means that there is a life waiting for you to save. At this time, you must do your best to provide help to the patient in the shortest possible time."
After Dai Lins got off work, Qin Chuan and other trainee doctors were ready to go home.
When Qin Chuan returned to his place of residence, he no longer had the energy to enter the system and learn new things. Today's real experience in the hospital was Qin Chuan's biggest gain today. Qin Chuan discovered that his team was in many ways different from these world-renowned hospitals.
There is still a huge gap in the medical team.
The next day, Qin Chuan rushed to the hospital early in the morning. Spike's condition was even worse. After arriving, he just stood there casually and fell asleep as soon as he closed his eyes.
"Hey, don't sleep, Doctor Dylan is here." Qin Chuan quickly pushed Spike. (To be continued, please search Piaotian Literature, the novel is better and updated faster!
